This new coronavirus epidemic is starting to heat up

Discussion in 'Covid-19 News/Info' started by cowboy1964, Jan 22, 2020.

  1. boatman1

    boatman1

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    If you have hypertension covid19 is supposed to be much harder on you, especially if you have other issues such as obesity, diabetes, etc.

    but what if you have controlled hypertension. I was diagnosed earlier this year with hypertension and was prescribed medication and now my BP is pretty much normal. I am not obese nor do I have diabetes, etc.i am 61 years old. So if you have controlled hypertension and have no other risk factors are you still At greater risk?
     
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  2. TeaDub

    TeaDub

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    An interesting new "treatment" has several studies being started up. It uses nitric oxide gas (apparently it is involved with making Viagra). Patients and perhaps healthcare workers will be given C-Pap treatments early on to hopefully avoid ventilators.

    https://www.dailymail.co.uk/health/...onavirus-doctors-testing-gas-gave-Viagra.html

    No clue how effective it may be. I find it interesting and hopeful they are looking at earlier treatment options.
     
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  3. Jed Cooper

    Jed Cooper

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  4. clancy

    clancy Oh, for a muse of fire

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    THIS IS KIRYAS JOEL, ORANGE COUNTY, NEW YORK, WHERE YET AGAIN WE SEE VERY LARGE GROUPS OF PEOPLE AND FAMILIES STAND TOGETHER. THEY ARE NOT KEEPING THE SOCIAL DISTANCING RULES AND DEFINITELY NOT SELF ISOLATING.


    View: https://www.facebook.com/OTDgirl/videos/2816537408463186/?t=4
     
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  5. chuck73080

    chuck73080

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    Right now those SS checks are looking good, my work buddies who are still driving tell me they wish they were retired also.
     
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  6. flyover

    flyover

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  7. thewitt

    thewitt

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    Looks like today's death toll will be 1940+ in the US - assuming the clock stopped at 12GMT.

    1255 deaths yesterday.
    1940+ deaths today.
    One day does not a trend make, however I would not classify this as positive.

    I'm still preparing for the worst week in the US to date, and hoping we don't see 25000 total dead by the weekend.

    No, the sky is not falling, but it's pretty dark out right now.
     
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  8. Jade Falcon

    Jade Falcon WTF EREN?!

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  9. GlockerBill

    GlockerBill

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    7,500 people die in the u.s. everyday. one every twelve seconds. perspective.
     
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  10. Jon_R

    Jon_R

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  11. BigBluefish

    BigBluefish

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    And it's always darkest ... just before it goes pitch black.
     
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  12. Jon_R

    Jon_R

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    It will be an interesting study in a year or so if the lockdown and social distancing had effect on the non covid deaths. Auto deaths must be down. Regular flu deaths probably down with the social distance and relentless hygiene and cleaning. People little more cautious not wanting an er trip.

    Flip side I had my endoscopy canceled for abdominal pain. Hope when I end up having it in a couple months I am not told if we only got it sooner. That would suck. Sure lots of diagnostics, physicals, and routine dr visits are being missed.

     
  13. Hartford

    Hartford

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    And today Covid19 increased that by 26% with almost half coming out of one state. That's huge,.
     
    Last edited: Apr 7, 2020
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  14. Maccabeus

    Maccabeus

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    Not anymore. Today you get ~125% of that number.

    ETA: Hartford beat me to it.
     
  15. DocCasualty

    DocCasualty Wolverine

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    Noninvasive Ventilatory Support in COVID-19: Friend or Foe?
    Liam Davenport

    April 07, 2020

    • Coronavirus Resource Center.

      With intensive care units (ICUs) in numerous countries overwhelmed in the face of the COVID-19 pandemic, many hospitals have turned to noninvasive ventilation (NIV) to stave off severe respiratory failure and ease the pressure on scarce resources.

      This practice is seen as controversial by some US clinicians, but has been widely employed in China and is gaining traction in Europe, with the European Society of Intensive Care Medicine (ESICM) now recommending it.

      And there is debate as to whether NIV devices — such as continuous positive airway pressure (CPAP), ordinarily used to treat conditions such as sleep apnea — should be the first port of call, or rather oxygen delivered by high-flow nasal cannula (HFNC).

      Another concern is whether the benefits of using such interventions outweigh the risks of possible aerosolization of the virus, which could increase the risk of nosocomial infection. This issue may be especially pertinent when personal protective equipment for medical staff is in short supply

      In some places, most notably Italy, helmet devices that cover the patient's head entirely — as opposed to the face masks typically used with other NIV — have been employed, which may help limit aerosolization.

      CPAP or HFNC to Slow Disease Progression?
      NIV is defined as a ventilation modality that supports breathing by delivering mechanically assisted breaths without the need for intubation or surgical airway. There are two main types: negative-pressure ventilation and noninvasive positive-pressure ventilation (NIPPV).



      The latter is further subdivided into several subtypes, including CPAP and bilevel positive airway pressure (BiPAP).

      NIV devices reduce the effort of breathing and help maintain inflation of the alveoli, thus increasing oxygenation.

      Detailing the Italian experience of the COVID-19 pandemic, one expert observed that CPAP could be beneficial not only to reduce ICU admissions and the number of patients requiring intubation but also because nurses can administer it.

      However, are CPAP and similar NIV devices the best choice?


      ESICM issued one of the first international guidelines on the management of critically ill patients with COVID-19 in intensive care on March 23, as reported by Medscape Medical News.


      ESICM suggests using oxygen delivered by HFNC as first-line therapy for patients with COVID-19 and acute hypoxemic respiratory failure in preference to NIPPV/CPAP, although the latter could be used "with close monitoring and short-interval assessment for worsening respiratory failure."


      However, these are not recommendations, just suggestions, only supported by low-quality evidence, the society notes.


      And in a study from China, HFNC was the most common ventilation support. Of patients experiencing severe acute respiratory failure because of COVID-19, 63% were treated with HFNC as first-line therapy and 33% were treated with NIV.

      (continued)
     
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  16. DocCasualty

    DocCasualty Wolverine

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    Rushing Through New Machines and the Helmet Hope
    Perhaps anticipating such use, however, the FDA has, in-line with other countries, announced urgent guidance on modifying respiratory devices, as long as they do not "create an undue risk."


    "If the number of ventilators in your facility is running low, consider alternative devices capable of delivering breaths or pressure support to satisfy medically necessary treatment practices for patients requiring such ventilatory support," the guidance states.


    This includes the use of devices for sleep apnea to treat respiratory insufficiency "provided that appropriate design mitigations are in place to minimize aerosolization," such as filters, it notes.

    There is also hope that helmet-based ventilation may help reduce the risk of nosocomial infection — in this instance, a helmet replaces a facemask as the mode of delivery of oxygen.


    The helmet consists of a plastic bell that fits over the head and attaches to a rubber collar neck seal, reminiscent of Victorian diving helmets. Their potential in the current pandemic was demonstrated in striking footage from Sky News showing a room full of Italian COVID-19 patients wearing the devices on an emergency ward.


    The Italian version is more advanced than those available elsewhere — it was designed with a virus filter to prevent aerosolization and is more user friendly, with extra ports for medical staff to use.

    However, the Italian helmet is not approved by the US Food and Drug Administration (FDA), although helmet devices have been trialed by the US National Institutes of Health (NIH) as a treatment for acute respiratory distress syndrome.


    In any case, the Italian government has banned the export of helmet devices while it tackles its own COVID-19 crisis.


    US hospitals are consequently turning to locally produced helmet devices, with companies seeing huge increases in orders.

    Nevertheless, there are some notes of caution on the issue of helmets.


    The ESICM guidelines describe them as an "attractive option" because they have "been shown to reduce exhaled air dispersion," but the authors emphasize that they are "not certain" about their safety or efficacy in COVID-19, and they were therefore "not able to make a recommendation regarding the use of helmet NIPPV compared with mask NIPPV."


    Lorenzo Berra, MD, medical director of respiratory care at Massachusetts General Hospital, Boston, went a step further.


    He told the Wall Street Journal that although the helmet device "could buy some time" for patients, he is "skeptical of using it for a huge number of patients, unless there are no ventilators."


    Rogers has served as an advisor for Merck antibiotic trials (received no money) and has received research grants from the NIH and National Heart, Lung, and Blood Institute.


    Intensive Care Med. Published online March 28, 2020. Full text
     
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  17. MaxxAction

    MaxxAction

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    If the numbers are correct...

    The CDC directive to count deaths that "might" have been related to Covid-19 is possibly skewing things even further.

    https://www.westernjournal.com/cdc-...FXxg-sPSW1s6cVKlgDj-G6lFW5BlhRqUUvBuEhkOUrAd4

    On the other hand, CNN and NYT are trying to convince us that the death toll is inaccurate because it is under counted, so you should be terrified.

    https://www.cnn.com/2020/04/06/health/us-coronavirus-death-count-cdc-explainer/index.html

    [​IMG]
     
    Last edited: Apr 7, 2020
  18. thespork

    thespork

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    So a disease that didn't exist 6 months ago is now responsible for 25% of all deaths...
    But this is fine... Just like the flu..
     
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  19. bababoris

    bababoris

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    It’s terrible. Also 6 million lost their jobs. Millions lost a good chunk of their retirement. How many died last year when the seasonal flu was at its worst?


    Sent from my iPhone using Tapatalk
     
  20. Csv

    Csv

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